| NPI | 1063430809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA HAYES AMUSAN Executive Director 336-475-8873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-041-591) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |